Comparison of radionuclide lymphoscintigraphy and dynamic magnetic resonance lymphangiography for investigating extremity lymphoedema
Identifieur interne : 005713 ( Istex/Corpus ); précédent : 005712; suivant : 005714Comparison of radionuclide lymphoscintigraphy and dynamic magnetic resonance lymphangiography for investigating extremity lymphoedema
Auteurs : N. Liu ; Q. Lu ; P. Liu ; X. Wu ; B. WangSource :
- British Journal of Surgery [ 0007-1323 ] ; 2010-03.
Abstract
Lymphoscintigraphy is widely used to image the lymphatic system. The aim of this study was to compare lymphoscintigraphy and dynamic magnetic resonance lymphangiography (MRL) in the investigation of extremity lymphoedema.
Url:
DOI: 10.1002/bjs.6893
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<front><div type="abstract">Lymphoscintigraphy is widely used to image the lymphatic system. The aim of this study was to compare lymphoscintigraphy and dynamic magnetic resonance lymphangiography (MRL) in the investigation of extremity lymphoedema.</div>
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<profileDesc><abstract xml:lang="en" style="main"><head>Abstract</head>
Background:
<p>Lymphoscintigraphy is widely used to image the lymphatic system. The aim of this study was to compare lymphoscintigraphy and dynamic magnetic resonance lymphangiography (MRL) in the investigation of extremity lymphoedema.</p>
Methods:
<p>Sixteen patients with primary extremity lymphoedema and two with Klippel–Trenaunay syndrome with lymphoedema were examined by lymphoscintigraphy using the tracer <hi rend="superscript">99</hi>
Tc‐labelled dextran, and by MRL using gadobenate dimeglumine as contrast agent. Morphological abnormalities and functional state of the lymphatic systems of affected limbs were compared between the two imaging methods.</p>
Results:
<p>Lymphatic vessels were imaged in 14 of 18 limbs with lymphoedema using MRL, compared with one of 18 using lymphoscintigraphy. MRL detected the inguinal nodes in 16 of 17 patients, whereas lymphoscintigraphy revealed inguinal nodes in only nine. MRL revealed more precise information about structural and functional abnormalities of lymph vessels and nodes than lymphoscintigraphy by real‐time measurement of lymph flow in vessels and nodes.</p>
Conclusion:
<p>Dynamic MRL was more sensitive and accurate than lymphoscintigraphy in the detection of anatomical and functional abnormalities in the lymphatic system in patients with extremity lymphoedema. Copyright © 2010 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.</p>
</abstract>
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<section xml:id="abs1-1"><title type="main">Background:</title>
<p>Lymphoscintigraphy is widely used to image the lymphatic system. The aim of this study was to compare lymphoscintigraphy and dynamic magnetic resonance lymphangiography (MRL) in the investigation of extremity lymphoedema.</p>
</section>
<section xml:id="abs1-2"><title type="main">Methods:</title>
<p>Sixteen patients with primary extremity lymphoedema and two with Klippel–Trenaunay syndrome with lymphoedema were examined by lymphoscintigraphy using the tracer <sup>99</sup>
Tc‐labelled dextran, and by MRL using gadobenate dimeglumine as contrast agent. Morphological abnormalities and functional state of the lymphatic systems of affected limbs were compared between the two imaging methods.</p>
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<section xml:id="abs1-3"><title type="main">Results:</title>
<p>Lymphatic vessels were imaged in 14 of 18 limbs with lymphoedema using MRL, compared with one of 18 using lymphoscintigraphy. MRL detected the inguinal nodes in 16 of 17 patients, whereas lymphoscintigraphy revealed inguinal nodes in only nine. MRL revealed more precise information about structural and functional abnormalities of lymph vessels and nodes than lymphoscintigraphy by real‐time measurement of lymph flow in vessels and nodes.</p>
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<section xml:id="abs1-4"><title type="main">Conclusion:</title>
<p>Dynamic MRL was more sensitive and accurate than lymphoscintigraphy in the detection of anatomical and functional abnormalities in the lymphatic system in patients with extremity lymphoedema. Copyright © 2010 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.</p>
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<abstract type="short" xml:lang="en"><p>The MR technique was superior</p>
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<mods version="3.6"><titleInfo lang="en"><title>Comparison of radionuclide lymphoscintigraphy and dynamic magnetic resonance lymphangiography for investigating extremity lymphoedema</title>
</titleInfo>
<titleInfo type="abbreviated" lang="en"><title>Investigation of extremity lymphoedema</title>
</titleInfo>
<titleInfo type="alternative" contentType="CDATA" lang="en"><title>Comparison of radionuclide lymphoscintigraphy and dynamic magnetic resonance lymphangiography for investigating extremity lymphoedema</title>
</titleInfo>
<name type="personal"><namePart type="given">N.‐F.</namePart>
<namePart type="family">Liu</namePart>
<affiliation>Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, China</affiliation>
<affiliation>Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, 639 Zhi Zao Ju Road, Shanghai 200011, China</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Q.</namePart>
<namePart type="family">Lu</namePart>
<affiliation>Department of Radiology, Shanghai Ren Ji Hospital, China</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">P.‐A.</namePart>
<namePart type="family">Liu</namePart>
<affiliation>Department of Nuclear Medicine, Shanghai Ninth People's Hospital, China</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">X.‐F.</namePart>
<namePart type="family">Wu</namePart>
<affiliation>Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, China</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">B.‐S.</namePart>
<namePart type="family">Wang</namePart>
<affiliation>Department of Biostatistics, Shanghai Jiao Tong University School of Medicine, Shanghai, China</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<typeOfResource>text</typeOfResource>
<genre type="article" displayLabel="article"></genre>
<originInfo><publisher>John Wiley & Sons, Ltd.</publisher>
<place><placeTerm type="text">Chichester, UK</placeTerm>
</place>
<dateIssued encoding="w3cdtf">2010-03</dateIssued>
<dateValid encoding="w3cdtf">2009-09-30</dateValid>
<copyrightDate encoding="w3cdtf">2010</copyrightDate>
</originInfo>
<language><languageTerm type="code" authority="rfc3066">en</languageTerm>
<languageTerm type="code" authority="iso639-2b">eng</languageTerm>
</language>
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<extent unit="figures">3</extent>
<extent unit="tables">2</extent>
<extent unit="references">14</extent>
</physicalDescription>
<abstract>Lymphoscintigraphy is widely used to image the lymphatic system. The aim of this study was to compare lymphoscintigraphy and dynamic magnetic resonance lymphangiography (MRL) in the investigation of extremity lymphoedema.</abstract>
<abstract>Sixteen patients with primary extremity lymphoedema and two with Klippel–Trenaunay syndrome with lymphoedema were examined by lymphoscintigraphy using the tracer 99Tc‐labelled dextran, and by MRL using gadobenate dimeglumine as contrast agent. Morphological abnormalities and functional state of the lymphatic systems of affected limbs were compared between the two imaging methods.</abstract>
<abstract>Lymphatic vessels were imaged in 14 of 18 limbs with lymphoedema using MRL, compared with one of 18 using lymphoscintigraphy. MRL detected the inguinal nodes in 16 of 17 patients, whereas lymphoscintigraphy revealed inguinal nodes in only nine. MRL revealed more precise information about structural and functional abnormalities of lymph vessels and nodes than lymphoscintigraphy by real‐time measurement of lymph flow in vessels and nodes.</abstract>
<abstract>Dynamic MRL was more sensitive and accurate than lymphoscintigraphy in the detection of anatomical and functional abnormalities in the lymphatic system in patients with extremity lymphoedema. Copyright © 2010 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.</abstract>
<abstract type="short" lang="en">The MR technique was superior</abstract>
<note type="funding">Shanghai Science and Technology Committee - No. 0541195361; </note>
<relatedItem type="host"><titleInfo><title>British Journal of Surgery</title>
<subTitle>Incorporating European Journal of Surgery and Swiss Surgery</subTitle>
</titleInfo>
<titleInfo type="abbreviated"><title>Br J Surg</title>
</titleInfo>
<genre type="journal">journal</genre>
<subject><genre>article-category</genre>
<topic>Original Article</topic>
</subject>
<identifier type="ISSN">0007-1323</identifier>
<identifier type="eISSN">1365-2168</identifier>
<identifier type="DOI">10.1002/(ISSN)1365-2168</identifier>
<identifier type="PublisherID">BJS</identifier>
<part><date>2010</date>
<detail type="volume"><caption>vol.</caption>
<number>97</number>
</detail>
<detail type="issue"><caption>no.</caption>
<number>3</number>
</detail>
<extent unit="pages"><start>359</start>
<end>365</end>
<total>7</total>
</extent>
</part>
</relatedItem>
<identifier type="istex">B94D59075CD1FFF879F30E03D479646B9510DE3D</identifier>
<identifier type="DOI">10.1002/bjs.6893</identifier>
<identifier type="ArticleID">BJS6893</identifier>
<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2010 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.</accessCondition>
<recordInfo><recordContentSource>WILEY</recordContentSource>
<recordOrigin>John Wiley & Sons, Ltd.</recordOrigin>
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